Areta-Higuera J D, Algaba-Montes M, Oviedo-García A Á
Medicina de Familia y Comunitaria, Área Hospitalaria Virgen de Valme, Sevilla, España.
Medicina de Familia y Comunitaria, Servicio de Cuidado Críticos y Urgencias, Hospital Virgen de Valme, Sevilla, España.
Semergen. 2014 May-Jun;40(4):e69-72. doi: 10.1016/j.semerg.2013.05.001. Epub 2013 Dec 19.
Periodic paralysis is a rare disorder that causes episodes of severe muscle weakness that can be confused with other diseases, including epilepsy or myasthenia gravis. Hyperkalemic and hypokalemic paralysis are included within these diseases, the latter being divided into periodic paralysis (familial, thyrotoxic or sporadic) and non-periodic paralysis. In this regard, we present a case of familial hypokalemic periodic paralysis in an eighteen year-old female who was diagnosed with epilepsy in childhood, as well as a subclinical hypothyroidism (for which she received replacement therapy) months ago. The diagnosis was made by the anamnesis and the confirmation of hypokalemia.
周期性瘫痪是一种罕见的疾病，可导致严重的肌无力发作，易与其他疾病混淆，包括癫痫或重症肌无力。高钾性和低钾性瘫痪包含在这些疾病中，后者又分为周期性瘫痪（家族性、甲状腺毒症性或散发性）和非周期性瘫痪。在这方面，我们报告一例18岁女性的家族性低钾性周期性瘫痪病例，该患者童年时被诊断为癫痫，数月前被诊断为亚临床甲状腺功能减退（已接受替代治疗）。诊断依据病史及低钾血症的确认。
